Mark Stephen Banaszak, LMT is a
Massage Therapist based in Clarence Center, New York. Mark Stephen Banaszak is licensed to practice in New York (license number 019871) and his current practice location is
6321 Balsam Fir Ct, Clarence Center, New York. He can be reached at his office (for appointments etc.) via phone at
(716) 864-9079.
NPI number for Mark Stephen Banaszak is 1417127218 and his current mailing address is 6321 Balsam Fir Ct, Clarence Center, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1417127218.
Healthcare Provider's Profile
| Full Name | Mark Stephen Banaszak |
|---|
| Gender | Male |
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| Speciality | Massage Therapist |
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| Location | 6321 Balsam Fir Ct, Clarence Center, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1417127218
- Provider Enumeration Date: 03/07/2008
- Last Update Date: 03/07/2008
Medical Identifiers
Medical identifiers for Mark Stephen Banaszak such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1417127218 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225700000X | Massage Therapist | 019871 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mark Stephen Banaszak is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mark Stephen Banaszak, LMT
6321 Balsam Fir Ct,
Clarence Center, NY 14032-9150
Ph: (716) 864-9079 | Mark Stephen Banaszak, LMT
6321 Balsam Fir Ct,
Clarence Center, NY 14032-9150
Ph: (716) 864-9079 |
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